Fylstra DL. Ectopic pregnancy after hysterectomy may not be so uncommon: A case report and review of the literature. Case Rep Womens Health. The American College of Obstetrics and Gynecologists. Ectopic pregnancy.
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Correspondence to Dawud Muhammed Ahmed. The quality improvement and research committee of Felege Hiwot referral hospital gave us the ethical clearance to publish this case report. Written informed consent for publication of this case report and any accompanying images was obtained from the patient. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Reprints and Permissions. Ahmed, D. Cervical stump pregnancy 6 years after subtotal hysterectomy: a case report.
J Med Case Reports 13, Download citation. Received : 26 July Accepted : 10 April Published : 08 May Anyone you share the following link with will be able to read this content:. Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative. Skip to main content. Search all BMC articles Search. Download PDF. Abstract Background Pregnancy following hysterectomy is very rare and may lead to significant morbidity, especially when diagnosis is delayed.
Conclusion Any reproductive-aged woman with at least one ovary and a means for sperm to meet egg should be screened for pregnancy if she presents with an acute abdomen or abdominal or pelvic pain. Background While a complete uterus is the typical site of gestation, it is not absolutely necessary for fertilization and implantation. Discussion and conclusions Pregnancy after hysterectomy can follow any type of hysterectomy total or supracervical and any approach abdominal, laparoscopic, or vaginal , but the highest risk is with supracervical hysterectomies [ 3 , 5 ].
Early presentation Among 72 reported cases worldwide, 30 occurred because of unrecognized luteal phase pregnancies that were in transit to the endometrial cavity. Late presentation Late-presenting pregnancies develop as a result of a communication between the vagina and the peritoneal cavity. Prevention Elective hysterectomies should be done in the pre-ovulatory phase of the menstrual cycle or after effective contraception to avoid early occurring post-hysterectomy ectopic pregnancies [ 2 , 3 ].
Conclusion While rare, post-hysterectomy ectopic pregnancy can occur and should be considered when a woman presents with abdominal pain and bleeding early or late after hysterectomy.
References 1. Google Scholar 2. Google Scholar 3. Article Google Scholar 5. PubMed Article Google Scholar 6. PubMed Google Scholar Download references. Acknowledgements We would like to thank the patient and staff of Felege Hiwot referral hospital who were involved in the management of the case.
Funding None. Availability of data and materials The relevant raw data and materials described in the manuscript are available from the corresponding author on reasonable request. View author publications. Because your hormone levels drop quickly without ovaries, your symptoms may be stronger than with natural menopause. Ask your doctor about ways to manage your symptoms. A hysterectomy can be done in several different ways. It will depend on your health history and the reason for your surgery.
Talk to your doctor about the different options:. Recovering from a hysterectomy takes time. Most women stay in the hospital one to two days after surgery.
Some doctors may send you home the same day of your surgery. Some women stay in the hospital longer, often when the hysterectomy is done because of cancer. Your doctor will likely have you get up and move around as soon as possible after your hysterectomy. This includes going to the bathroom on your own. However, you may have to pee through a thin tube called a catheter for one or two days after your surgery.
You should get plenty of rest and not lift heavy objects for four to six weeks after surgery. At that time, you should be able to take tub baths and resume sexual intercourse. How long it takes for you to recover will depend on your surgery and your health before the surgery. Talk to your doctor. Hysterectomy is a major surgery, so recovery can take a few weeks. But for most women, the biggest change is a better quality of life. You should have relief from the symptoms that made the surgery necessary.
It might. If you had a good sex life before your hysterectomy, you should be able to return to it without any problems after recovery. Many women report a better sex life after hysterectomy because of relief from pain or heavy vaginal bleeding. If your hysterectomy causes you to have symptoms of menopause, you may experience vaginal dryness or a lack of interest in sex. Using a water-based lubricant can help with dryness.
Talk to your partner and try to allow more time to get aroused during sex. Talk with your doctor and get more tips in our Menopause and sexuality section.
You will still need regular Pap tests or Pap smear to screen for cervical cancer if you:. For more information about hysterectomy, call the OWH Helpline at or contact the following organizations:. Department of Health and Human Services. ET closed on federal holidays.
Breadcrumb Home A-Z health topics Hysterectomy. Hysterectomy A hysterectomy is a surgery to remove a woman's uterus also known as the womb. What happens during a hysterectomy? Why would I need a hysterectomy?
You may need a hysterectomy if you have one of the following: 1 Uterine fibroids. Uterine fibroids are noncancerous growths in the wall of the uterus. In some women they cause pain or heavy bleeding. Heavy or unusual vaginal bleeding. Changes in hormone levels, infection, cancer, or fibroids can cause heavy, prolonged bleeding. Uterine prolapse. This is when the uterus slips from its usual place down into the vagina.
This is more common in women who had several vaginal births, but it can also happen after menopause or because of obesity. Prolapse can lead to urinary and bowel problems and pelvic pressure.
Endometriosis happens when the tissue that normally lines the uterus grows outside of the uterus on the ovaries where it doesn't belong. This can cause severe pain and bleeding between periods. In this condition the tissue that lines the uterus grows inside the walls of the uterus where it doesn't belong. The uterine walls thicken and cause severe pain and heavy bleeding.
Cancer or precancer of the uterus, ovary, cervix, or endometrium the lining of the uterus. Hysterectomy may be the best option if you have cancer in one of these areas. Other treatment options may include chemotherapy and radiation. Your doctor will talk with you about the type of cancer you have and how advanced it is.
Learn more about treatment options for these cancers at the National Cancer Institute. What are some alternatives to hysterectomy? These include: Watchful waiting. You and your doctor may wish to wait if you have uterine fibroids , which tend to shrink after menopause. For uterine prolapse, you can try Kegel exercises squeezing the pelvic floor muscles. Kegel exercises help restore tone to the muscles holding the uterus in place. Your doctor may give you medicine to help with endometriosis.
Over-the-counter pain medicines taken during your period also may help with pain and bleeding. Hormonal birth control, such as the pill, shot, or vaginal ring, or a hormonal intrauterine device IUD may help with irregular or heavy vaginal bleeding or periods that last longer than usual.
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